Individual provider Active NPI

Rosemarie Gene Ells, 5201003961

  • Occupational Therapist
  • Big Rapids, MI
National Provider Identifier
1093964652
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201003961 Issued in MI
Practice address
745 Water Tower Rd
Big Rapids, MI 49307-2135
Phone
(231) 592-1061
Fax
(231) 592-5139
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201003961 MI Primary
Neurorehabilitation Occupational Therapist 225XN1300X 5201003961 MI
Pediatric Occupational Therapist 225XP0200X 5201003961 MI

Addresses

Primary practice location

745 Water Tower Rd
Big Rapids, MI 49307-2135

Mailing address

745 Water Tower Rd.
Big Rapids, MI 49307
Phone (231) 592-1061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5201003961MIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network - Rehabilitation Services Occupational Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1093964652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 WATER TOWER RD.",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "49307",
            "telephone_number": "231-592-1061",
            "fax_number": "231-592-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 WATER TOWER RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072135",
            "telephone_number": "231-592-1061",
            "fax_number": "231-592-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLS",
        "first_name": "ROSEMARIE",
        "middle_name": "GENE",
        "name_prefix": "Ms.",
        "credential": "5201003961",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003961",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201003961",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201003961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.